Re: Question re: SCSA

[Gail Neustadt]

If he met the therapy goals and had a significant improvement, yes do a Significant change assessment. If he will have different caregivers/cna when he transfers to the SNF,  if it is not too late, the terapists need to develop a skilled maintenance program and train the new caregivers over in the SNF. He can continue to remain skilled for a little while even after he moves to the SNF if the therapists feel that his discharge program (restorative in nature) is not safe or effective and the caregivers have continued training needs. The RL RUG would work under these circumstances.   Gail Neustadt, NHA     Gail Neustadt, NHA  ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Friday, March 26, 2004 9:52 AM Subject: Question re: SCSA I have a resident that has been on our rehab unit and has been working with therapy.  The resident will be going to our LTC unit and will no longer meet skilled criteria for nursing or therapy.  My question is if the resident has met the goals that therapy has set forth and is now functioning at that level do I need to do a SCSA because he has now plateued at that level?  My raps indicate that we are anticipating improvements toward therapy goals.    Thanks in advance for your responses Diane R. Wierenga RN, BSN, RAC-C Spectrum Health Continuing Care Center